title: [Pyogenic liver abscess caused by Klebsiella pneumoniae].
abstract: Pyogenic liver abscess caused by Klebsiella pneumoniae is usually found in Southeast Asia, while in Europe Escherichia coli, Streptococcus or Staphylococcus are most common. In case of a failed ultrasound controlled abscess, aspiration surgical treatment is indicated. This paper reports the clinical case of pyogenic liver abscess caused by Klebsiella pneumoniae, which was treated by operative drainage. A 60-year-old patient was transferred to our institution from the University Hospital for Infectious Diseases with septic temperature, abdominal pain and finding of Klebsiella pneumoniae liver abscess (resistant to antibiotic therapy). Additional laboratory tests and abdominal MSCT scan confirmed the initial diagnosis. The localization of abscesses technically prevented ultrasound-controlled abscess aspiration and drainage; after appropriate preparation, operative liver abscess incision and drainage were performed. Microbiological examination of the abscess sample revealed Klebsiella pneumoniae as the cause of liver abscess.
authors.affiliation: Klinicka bolnica Sveti Duh, Klinika za kirurgiju, Zagreb, Hrvatska. ivanzoricic@net.hr
authors.forename: Ivan
authors.initials: I
authors.lastname: Zoricić
authors.forename: Darko
authors.initials: D
authors.lastname: Vukusić
authors.forename: Marko
authors.initials: M
authors.lastname: Sever
authors.forename: Nermin
authors.initials: N
authors.lastname: Lojo
authors.forename: Marko
authors.initials: M
authors.lastname: Barić
mesh_terms: D006801:Humans; D007710:Klebsiella Infections / Q000150:complications*; D007711:Klebsiella pneumoniae; D046290:Liver Abscess, Pyogenic / Q000382:microbiology*; D008297:Male; D008875:Middle Aged